耳内镜下诊治大型外伤性鼓膜穿孔临床探讨

Clinical Study on Diagnosis and Treatment of Large Traumatic Tympanic Membrane Perforation under Endoscope

目的分析耳内镜下诊治大型外伤性鼓膜穿孔的效果。方法选取于2017年6月-2018年7月该院所收治外伤性大型鼓膜穿孔症临床诊治的患者100例为研究对象,以实际就诊的顺序为主,将患者平均分成两组,每组均50例。干预组实施耳内镜辅助下明胶海绵的贴补疗法,常规组则为常规的干燥疗法。分析两组效果。结果通过对两组患者的临床疗效指标评分数据做出对比可得出,干预组临床疗效总有效率可达98.00%(49/50),高出常规组84.00%。仅常规组中有2例患者出现了炎症反应,不良症状反应实际发生率为4.00%(2/50),而干预组患者不良症状反应实际发生率则为0.00%(0/50),由此便可表明组相比较于常规组,干预组患者临床疗效总有效率,不良症状反应实际发生指标评分,略占一定临床优势,组间的数据对比差异有统计学意义(χ^2=6.237,P<0.05)。结论对于外伤性大型鼓膜穿孔症临床诊治工作,实施耳内镜辅助下明胶海绵的贴补疗法,能提升临床疗效,有助于患者早日疾病转归。但因患者个体上存在着一定差异,对临床治疗耐受性不同,故需临床医师先结合临床诊断结果,综合评估患者实际病情,了解患者真实意愿及想法,不对优化及完善临床治疗方案,便于充分发挥耳内镜辅助下明胶海绵的贴补疗法应用优势,以便于患者耳部功能尽快恢复至最佳功能状态。

Objective To analyze the clinical diagnosis and treatment of large traumatic tympanic membrane perforation under endoscope.Methods One hundred patients with clinical diagnosis and treatment of traumatic large tympanic membrane perforation were enrolled in our hospital from June 2017 to July 2018.The actual order of the treatment was divided into two groups.There were 50 cases in each group.The intervention group was treated with ear endoscopy-assisted gelatin sponge supplementation,while the conventional group was conventional dry therapy.Analysis of the two groups of effects.Results By comparing the clinical efficacy index scores of the two groups of patients,the total effective rate of the intervention group was 98.00%(49/50),which was 84.00% higher than the conventional group.In the conventional group,only 2 patients developed an inflammatory response,and the actual incidence of adverse symptoms was 4.00%(2/50),while the actual incidence of adverse symptoms in the intervention group was 0.00%(0/50).It can be shown that compared with the conventional group,the clinical efficacy of the patients in the intervention group was always effective,and the scores of the actual symptoms of the adverse symptoms were slightly different.The data comparison between the groups was statistically significant(χ^2=6.237,P<0.05).Conclusion For the clinical diagnosis and treatment of traumatic large tympanic membrane perforation,the implementation of ear endoscopy-assisted gelatin sponge supplementation therapy can improve clinical efficacy and help patients with early disease outcome.However,due to the existence of certain differences in the individual patients,the tolerance to clinical treatment is different.Therefore,the clinician should first combine the clinical diagnosis results,comprehensively evaluate the actual condition of the patient,understand the true wishes and thoughts of the patients,and optimize and improve the clinical treatment.The program is convenient for giving full play to the application advantages of the adhesive therapy of the gelatin sponge assisted by the endoscope,so as to restore the ear function of the patient to the optimal functional state as soon as possible.